Mid-term radiological and functional results of biological reconstructions of extremity-located bone sarcomas in children and young adults
| Autor: | Cihangir Tetik, Barış Çaypınar, Bülent Erol, Mert Osman Topkar, Onur Basci, Hakan Başar |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Arthrodesis medicine.medical_treatment Nonunion Musculoskeletal tumor Bone Neoplasms Bone Sarcoma Surgical Flaps Osseointegration Arm Bones Young Adult Postoperative Complications Humans Medicine Orthopedics and Sports Medicine Leg Bones Treatment Failure Young adult Child Retrospective Studies Osteosarcoma Bone Transplantation business.industry Implant failure Anatomy Plastic Surgery Procedures medicine.disease Surgery Child Preschool Radiological weapon Pediatrics Perinatology and Child Health Female business |
| Zdroj: | Journal of Pediatric Orthopaedics B. 24:469-478 |
| ISSN: | 1060-152X |
| DOI: | 10.1097/bpb.0000000000000189 |
| Popis: | Biological reconstruction is a useful option for reconstruction following bone sarcoma resection in children. The mid-term functional and radiological outcomes of biological reconstructions after resection of bone sarcomas in children are presented in this study. Eighteen patients [average age 12.5 years (range 4-22 years)] with primary sarcomas of long bones underwent wide surgical resection and biological reconstruction. The bone defects were managed by intercalary (n=14), osteoarticular (n=3) reconstructions and arthrodesis (n=1) with a vascularized fibular graft (VFG). VFG was combined with a massive allograft in seven lower extremity reconstructions. The average follow-up was 45.7 months (range 25-78 months). Graft union and graft hypertrophy was observed in 17 (94.4%) of 18 patients at 12 months. The VFG-allograft osteointegration rate was 100% at 24 months. The average final follow-up Musculoskeletal Tumor Society (MSTS) scores for lower and upper extremity reconstructions were 79.7% (range 66.6-90%) and 80.9% (range 53.3-100%), respectively. Four (22.2%) complications, including nonunion (n=1), implant failure (n=1), infection (n=1) and skin necrosis (n=1), required reoperation. The disease relapsed in three (16.6%) patients. Defect size and VFG length did not correlate with MSTS scores and radiological parameters (P>0.05). Biological reconstruction with VFG can provide permanent stability and progressively increasing functional and radiological results. Copyright (C) 2015 Wolters Kluwer Health, Inc. All rights reserved. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|